胃癌术后患者的生存质量研究

Study on the quality of life in patients with gastric cancer after radical operation

目的:探讨近端胃癌根治术后两种不同的消化道重建术式对患者生存质量的影响。方法:对我院2004年6月～2007年1月收治的59例近端胃癌次全胃切除患者分别采用了胃食管吻合(GE组)和调节型双通道间置空肠重建(GIE组)两种不同的消化道重建术式。在术前及术后1、6个月应用Spitzer生存质量总体评分量表,对两组患者进行生存质量调查。结果:两组患者术后生存质量得分较术前均增加(P<0.05);GIE组术后1、6个月的生存质量得分高于GE组(P<0.05)。结论:调节型双通道间置空肠消化道重建术有利于近端胃癌次全胃切除患者术后生存质量的提高。

Objective：To study the effect of two kinds of different digestive tract reconstructive techniques on the quality of life in patients with gastric cancer after proximal radical operation.Methods ：The gastroesophagostomy （GE） and accommodation double-tract digestive reconstruction of jejunal interposition （GIE） were used respectively in 59 patients with gastric cancer after proximal subtotal gastrectomy treated in our hospital from June 2004 to Jantiary 2007.The Spitzer index of quality of life was applied to investigate the quality of life in both groups before operation and in 1,6 months after operation.Results：The score in both groups after operation all increased compared with that before operation （P〈0.05）;the score in GIE group was higher than that in GE group （P〈0.05）.Conclusion：The technique of accommodation double-tract digestive reconstruction of jejunal interposition was beneficial to improve the quality of life in patients with gastric cancer after proximal subtotal gastrectomy.